Mitundu ya insulini: zomwe ali ndi momwe angagwiritsire ntchito

Zamkati

• 1. Insulini yogwira ntchito pang'onopang'ono kapena yayitali
• 2. Insulini yochitapo kanthu
• 3. Insulini yogwira ntchito mwachangu
• 4. Kuthamanga kwambiri kwa insulin
• Makhalidwe amtundu uliwonse wa insulini
• Momwe mungagwiritsire ntchito insulini

Insulini ndi timadzi tomwe timapangidwa mwathupi kuti tipewe kuchuluka kwa magazi m'magazi, koma akapanda kutulutsa okwanira kapena ntchito yake ikachepetsedwa, monga matenda ashuga, pangafunike kugwiritsa ntchito insulin yopanga ndi jakisoni.

Pali mitundu ingapo ya insulin yopanga, yomwe imatsanzira momwe timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timadzi timene timapangidwira tsiku ndi tsiku pakhungu lamasipeni, zolembera kapena mapampu apadera.

Kupanga insulini kumathandizira kuchepetsa magazi m'magazi ndikulola kuti ashuga akhale ndi moyo wathanzi komanso kupewa zovuta za matenda ashuga. Komabe, kugwiritsa ntchito kwake kuyenera kuyambitsidwa ndi kuwonetsa dokotala kapena endocrinologist, monga mtundu wa insulini woti ugwiritsidwe ntchito, komanso kuchuluka kwake kumasiyanasiyana kutengera zosowa za munthu aliyense.

Mitundu yayikulu ya insulini imasiyanasiyana malinga ndi nthawi yogwira ntchito komanso nthawi yoyenera kugwiritsidwa ntchito:

1. Insulini yogwira ntchito pang'onopang'ono kapena yayitali

Itha kudziwika kuti Detemir, Deglutega kapena Glargina, mwachitsanzo, ndikukhala tsiku lonse. Mtundu uwu wa insulini umagwiritsidwa ntchito kusunga insulin nthawi zonse m'magazi, omwe amatsanzira basal, komanso ochepera, insulin tsiku lonse.

Pakadali pano pali ma insulins ochedwa, omwe amatha kuchita masiku awiri, omwe amachepetsa kuchuluka kwa kulumidwa ndikusintha moyo wamashuga.

2. Insulini yochitapo kanthu

Mtundu wa insulini umatha kudziwika kuti NPH, Lenta kapena NPL ndipo umagwira pafupifupi theka la tsiku, pakati pa maola 12 mpaka 24. Ikhozanso kutsanzira zotsatira zoyambira za insulini wachilengedwe, koma imayenera kugwiritsidwa ntchito 1 mpaka 3 patsiku, kutengera kuchuluka kwa zomwe munthu aliyense akufuna, komanso malangizo a dokotala.

3. Insulini yogwira ntchito mwachangu

Imatchedwanso insulin nthawi zonse ndi insulini yomwe imayenera kugwiritsidwa ntchito pafupifupi mphindi 30 musanadye chakudya chachikulu, nthawi zambiri katatu patsiku, ndipo izi zimathandiza kuti shuga azikhala wolimba mukatha kudya.

Mayina odziwika bwino amalonda amtunduwu wa insulini ndi Humulin R kapena Novolin R.

4. Kuthamanga kwambiri kwa insulin

Ndiwo mtundu wa insulin womwe umagwira ntchito kwambiri posachedwa, chifukwa chake, umayenera kugwiritsidwa ntchito musanadye kapena, nthawi zina, mutangodya, kutsanzira zomwe insulin imapangidwa tikamadya kuti tipewe shuga magazi amakhala okwera.

Mayina akuluakulu amalonda ndi Lispro (Humalog), Aspart (Novorapid, FIASP) kapena Glulisine (Apidra).

Makhalidwe amtundu uliwonse wa insulini

Makhalidwe omwe amasiyanitsa mitundu yayikulu ya insulini ndi awa:

Kuyamba kwa insulin kuchitira kumafanana ndi nthawi yomwe insulin imayamba kugwira ntchito itatha nthawi yayitali ndipo nthawi yomwe insulin imafika pachimake.

Odwala matenda ashuga angafunikire kukonzekera mwachangu, mwachangu kwambiri komanso kwapakatikati, monga insulin ya premixed, monga Humulin 70/30 kapena Humalog Mix, mwachitsanzo, kuti athetse matendawa ndipo amagwiritsidwa ntchito pochepetsa ndikugwiritsa ntchito kulumidwa, makamaka ndi okalamba kapena omwe akuvutika kukonzekera insulini chifukwa cha zovuta zamagalimoto kapena masomphenya. Kuyamba kwa ntchito, kutalika kwake ndi pachimake kumadalira ma insulini omwe amapanga chisakanizocho, ndipo amagwiritsidwa ntchito kawiri kapena katatu patsiku.

Kuphatikiza pa jakisoni wa insulini woperekedwa ndi cholembera chapadera kapena jakisoni, mutha kugwiritsanso ntchito pampu ya insulini, yomwe ndi chida chamagetsi chomwe chimalumikizidwa ndi thupi ndikutulutsa insulini kwa maola 24, ndikulola kuyang'anira bwino magazi m'magazi. matenda ashuga, ndipo amatha kugwiritsidwa ntchito kwa anthu azaka zonse, makamaka mumtundu wa shuga 1. Dziwani zambiri za momwe mungagwiritsire ntchito komanso komwe mungapeze pompo la insulini.

Momwe mungagwiritsire ntchito insulini

Kuti mtundu uliwonse wa insulini uzigwira ntchito, ndikofunikira kuti mugwiritse ntchito moyenera, ndipo izi ndi zofunika:

1. Pangani khola laling'ono pakhungu, musanapereke jakisoni, kotero kuti imalowetsedwa m'deralo;
2. Ikani singano perpendicular khungu ndi ntchito mankhwala;
3. Sinthani malo obayira, pakati pa mkono, ntchafu ndi mimba komanso ngakhale m'malo awa ndikofunikira kusinthasintha, kupewa kuvulala ndi lipohypertrophy.

Kuphatikiza apo, ndikofunikira kusunga insulin, kuyisunga mufiriji mpaka itatsegulidwa ndipo phukusi likatsegulidwa liyenera kutetezedwa padzuwa ndi kutentha ndipo sayenera kugwiritsidwa ntchito kwa mwezi wopitilira umodzi. Mumvetsetse bwino momwe mungagwiritsire ntchito insulini.